| NPI | 1437442647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY BROWN RAICHE Owner/Operator 978-207-7971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 7652) |
| Additional Taxonomies | 251S00000X (Licence: MA 7652) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2011-05-31 |